Individual provider Active NPI

Adrienne Jane Rothar, LCSW

  • Clinical Social Worker
  • Bethpage, NY
National Provider Identifier
1033801766
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072288-01 Issued in NY
Practice address
15 Grumman Rd. W
Ste, 1000
Bethpage, NY 11714-5028
Phone
(516) 465-4700
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072288-01 NY Primary

Addresses

Primary practice location

15 Grumman Rd. W
Ste, 1000
Bethpage, NY 11714-5028

Mailing address

15 Grumman Rd. W
Ste, 1000
Bethpage, NY 11714-5028
Phone (516) 465-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
072288-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Safe Center Li Inc CurrentSince May 28, 2023 Accepting new patients

Locations

15 Grumman Rd W
Ste 1000
Bethpage, NY 11714
Phone (516) 465-4700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1033801766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRUMMAN RD. W",
            "address_2": "STE, 1000",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145028",
            "telephone_number": "516-465-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRUMMAN RD. W",
            "address_2": "STE, 1000",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145028",
            "telephone_number": "516-465-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHAR",
        "first_name": "ADRIENNE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072288-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.